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Missouri rates for HCPCS 52325

Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $5,389.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,118.00 / $13,118.00 / $22,242.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.70 / $659.51 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $3,500.00 / $7,351.00